What is the initial medication administered for COPD treatment according to the algorithm?

The initial medication recommended for COPD treatment according to the algorithm is typically a combination of bronchodilators such as albuterol and ipratropium (Atrovent). This pairing works effectively to relieve airway obstruction by relaxing bronchial muscles and increasing airflow, which is crucial in managing COPD exacerbations.

Oxygen supplementation may also be a standard part of initial treatment to alleviate hypoxemia, but using IV fluids is less common and not directly aimed at treating the underlying respiratory issues associated with COPD. Fluid management usually concerns hydration and is not the primary focus in acute management.

Additionally, CPAP and intubation are generally reserved for severe respiratory distress or failure and are not standard first-line treatments for COPD. Likewise, a 300cc fluid bolus does not address the critical need for bronchodilation in managing COPD exacerbations. Therefore, the combination of albuterol and Atrovent is emphasized as the most appropriate initial therapy in these cases.